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C. Diff Toxin Gene Test

Nebraska rates for HCPCS 87493

This laboratory test looks for the genetic material of the toxin-producing form of Clostridioides difficile bacteria in a stool sample, using a technique that amplifies small amounts of genetic material so it can be detected. It is used to determine whether a Clostridioides difficile infection is causing diarrhea or colon inflammation.

Rates data updated July 2026.

How much does C. Diff Toxin Gene Test cost?

$97.72

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $97.72 for this service. The price depends on where it is billed: about $48.98 from a physician practice, and about $145 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$48.98$37.15 to $115
FacilityA hospital or hospital-owned outpatient department$145$91.20 to $275

How much rates vary

Facilitymedian $145 · 10th to 90th $42 to $339Professionalmedian $49 · 10th to 90th $25 to $245
$20$50$100$200facility $145professional $49

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$194.98
Typical High
$426.58
Aetna
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$48.98
Typical High
$245.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$72.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$117.49
Typical High
$257.04
BCBS
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$57.54
Typical High
$61.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$239.88
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$72.44
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$109.65
Typical High
$251.19
Medica
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$22.39
Typical High
$138.04
Midlands
Setting
Professional
Modifier
Global
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$109.65
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$35.48
Typical High
$37.15
United
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$22.39
Typical High
$102.33

Where Nebraska sits

The same service costs 4.7 times more in West Virginia than in Oklahoma. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Nebraska· 5th of 51

$97.72

WV $166OK $35.48

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.